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Pelvic pain after laparoscopic lateral suspension for pelvic organ prolapse: an unrecognized problem?

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Abstract

Introduction and hypothesis

The laparoscopic lateral suspension (LLS) represents an alternative mesh procedure to avoid the dissection at the promontory. However, mesh-related complications such as chronic pelvic pain, dyspareunia, and bladder pain are emerging. The present study is aimed to present a video case report and describe a small case series of patients referred to our center for chronic pelvic pain after LLS.

Methods

A surgical video of the management of a 50-year-old woman with chronic abdominal and pelvic pain, dyspareunia, and recurrent urinary tract infection (UTIs) after uterus sparing LLS is provided. Moreover, we performed a retrospective chart review of similar cases in our institution.

Results

The featured procedure was completed without complications and was successful in obtaining symptom relief. Between 2018 and 2022 five patients underwent total or subtotal mesh removal for pain-related symptoms after LLS. At the median follow-up of 24 months, all patients were free from pain, but two (40%) required reoperation for prolapse recurrence

Conclusions

Our experience suggests that LLS involves a certain risk of chronic pelvic pain, which may be challenging to manage and require surgical treatment.

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References

  1. Barber MD. Pelvic organ prolapse. BMJ. 2016;354:i3853. https://doi.org/10.1136/bmj.i3853.

    Article  PubMed  Google Scholar 

  2. Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501–6.

    Article  CAS  PubMed  Google Scholar 

  3. Manodoro S, Frigerio M, Cola A, Spelzini F, Milani R. Risk factors for recurrence after hysterectomy plus native-tissue repair as primary treatment for genital prolapse. Int Urogynecol J. 2018;29(1):145–51. https://doi.org/10.1007/s00192-017-3448-7.

    Article  PubMed  Google Scholar 

  4. Richter LA, Carter C, Gutman RE. Current role of mesh in vaginal prolapse surgery. Curr Opin Obstet Gynecol. 2014;26(5):409–14. https://doi.org/10.1097/GCO.0000000000000096.

    Article  PubMed  Google Scholar 

  5. Vieillefosse S, Thubert T, Dache A, Hermieu JF, Deffieux X. Satisfaction, quality of life and lumbar pain following laparoscopic sacrocolpopexy: suture vs. tackers. Eur J Obstet Gynecol Reprod Biol. 2015;187:51–6.

    Article  PubMed  Google Scholar 

  6. Veit-Rubin N, Dubuisson JB, Gayet-Ageron A, Lange S, Eperon I, Dubuisson J. Patient satisfaction after laparoscopic lateral suspension with mesh for pelvic organ prolapse: outcome report of a continuous series of 417 patients. Int Urogynecol J. 2017;28(11):1685–93. https://doi.org/10.1007/s00192-017-3327-2.

    Article  PubMed  Google Scholar 

  7. Veit-Rubin N, Dubuisson JB, Lange S, Eperon I, Dubuisson J. Uterus-preserving laparoscopic lateral suspension with mesh for pelvic organ prolapse: a patient-centred outcome report and video of a continuous series of 245 patients. Int Urogynecol J. 2016;27(3):491–3.

    Article  PubMed  Google Scholar 

  8. Campagna G, Vacca L, Panico G, Caramazza D, Lombisani A, Scambia G, Ercoli A. Laparoscopic lateral suspension for pelvic organ prolapse: A systematic literature review. Eur J Obstet Gynecol Reprod Biol. 2021;264:318–29. https://doi.org/10.1016/j.ejogrb.2021.07.044.

    Article  PubMed  Google Scholar 

  9. Milani R, Cola A, Palmieri S, Frigerio M, Manodoro S. Surgical management of dyspareunia after laparoscopic lateral suspension for pelvic organ prolapse. Eur J Obstet Gynecol Reprod Biol. 2020;244:205. https://doi.org/10.1016/j.ejogrb.2019.10.044.

    Article  PubMed  Google Scholar 

  10. Milani R, Manodoro S, Passoni P, Locatelli L, Barba M, Frigerio M. Surgical management of bladder erosion and pelvic pain after laparoscopic lateral suspension for pelvic organ prolapse. Int Urogynecol J. 2020;31(4):843–5. https://doi.org/10.1007/s00192-020-04261-0.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Ospedale San Gerardo, via G.B. Pergolesi, 33 20900, Monza, Italy

    Matteo Frigerio, Marta Barba, Alice Cola & Paolo Passoni

  2. University of Milano-Bicocca, Monza, Italy

    Marta Barba, Giuseppe Marino, Silvia Volontè, Tomaso Melocchi & Desirèe De Vicari

Authors
  1. Matteo Frigerio
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  2. Marta Barba
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  3. Alice Cola
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  4. Giuseppe Marino
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  5. Silvia Volontè
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  6. Tomaso Melocchi
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  7. Desirèe De Vicari
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  8. Paolo Passoni
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Contributions

Matteo Frigerio: Project development, data collection and analysis, surgery, paper writing and revision

Marta Barba: Project development, data collection and analysis, paper writing and revision

Alice Cola: Project development, data collection and analysis, paper writing and revision

Giuseppe Marino: Project development, data collection and analysis, paper writing and revision

Silvia Volontè: Project development, data collection and analysis, paper writing and revision

Tomaso Melocchi: Project development, data collection and analysis, paper writing and revision

Desirèe De Vicari: Project development, data collection and analysis, paper writing and revision

Paolo Passoni: Project development, surgery, paper writing and revision

Corresponding author

Correspondence to Marta Barba.

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Frigerio, M., Barba, M., Cola, A. et al. Pelvic pain after laparoscopic lateral suspension for pelvic organ prolapse: an unrecognized problem?. Int Urogynecol J 34, 951–955 (2023). https://doi.org/10.1007/s00192-022-05374-4

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  • DOI: https://doi.org/10.1007/s00192-022-05374-4

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